脑卒中卧床患者足部压力性损伤预防装置的设计与应用  

The design and application of foot pressure injury prevention device for bedridden stroke patients

作　　者：杨湘英[1] 郑越 张茜 林沛钰 宁丽[3] Yang Xiangying;Zheng Yue;Zhang Qian;Lin Peiyu;Ning Li(Department of Geriatrics,Hangzhou First People's Hospital,Hangzhou 310006,Zhejiang,China;Department of Intensive Care Unit,Hangzhou First People's Hospital,Hangzhou 310006,Zhejiang,China;Department of Nursing,Hangzhou First People's Hospital,Hangzhou 310006,Zhejiang,China)

机构地区：[1]杭州市第一人民医院老年医学科,浙江杭州310006 [2]杭州市第一人民医院ICU,浙江杭州310006 [3]杭州市第一人民医院护理部,浙江杭州310006

出　　处：《中国中西医结合急救杂志》2024年第2期193-197,共5页Chinese Journal of Integrated Traditional and Western Medicine in Intensive and Critical Care

基　　金：浙江省基础公益研究计划项目(LTGY23H170003);国家发明专利(ZL 202010983513.4);浙江省医药卫生科技计划项目(2021PY016);浙江省杭州市生物医药和健康产业发展扶持专项(2021WJCY276);浙江省中医药科技计划项目(2023ZL120)。

摘　　要：目的观察脑卒中卧床患者足部压力性损伤预防装置的临床应用效果。方法选择2021年3月至2022年3月在杭州市第一人民医院重症监护病房(ICU)住院的(166例)脑卒中患者作为研究对象。采用定量研究中的实验设计,根据病区将患者分为对照组(ICU 4楼患者)和观察组(ICU 5楼患者),每组83例;护士也按照此法分组(观察组41名,对照组43名)。两组均进行常规治疗及预防压力性损伤护理,对照组采用海绵圈或现有的枕头减压,并采用丁字鞋内衬毛巾预防足下垂,观察组采用自行设计研发的卧床患者足部压力性损伤预防装置。观察两组患者足部压力性损伤和足下垂的发生率,以及患者使用足部压力性损伤预防装置的满意度和护士操作足部压力性损伤预防装置的满意度。结果观察组足部压力性损伤和足下垂发生率均明显低于对照组〔足部压力性损伤:3.61%(3/83)比8.43%(7/83);足下垂发生率:9.64%(8/83)比16.87%(14/83),均P<0.05〕;观察组患者满意度明显高于对照组〔91.6%(76/83)比79.5%(66/83),P<0.05〕;护士满意度较对照组升高〔95.1%(39/41)比86.0%(37/43)〕,但差异无统计学意义(P>0.05)。结论足部压力性损伤预防装置适用于脑卒中重症卧床患者,可有效地降低压力性损伤及足下垂的发生率,提高患者和操作人员的满意度,值得在临床上推广使用。Objective To observe the clinical effect of the preventive device for foot stress injury in bedridden patients with stroke.Methods A total of 166 patients with stroke who were hospitalized in the department of intensive care unit(ICU)of Hangzhou First People's Hospital from March 2021 to March 2022 were selected as the study subjects.The experimental design of the quantitative study was adopted,and the patients were divided into the control group(ICU 4th floor patients)and the observation group(ICU 5th floor patients)according to the different ward of ICU,with 83 cases in each group.Nurses were also grouped according to this method(41 in observation group,43 in control group).Both groups received conventional treatment and nursing care to prevent pressure injury.The control group was depressurized by sponge ring or existing pillow,and the foot sagging was prevented by T-shoe lined towel.The observation group used the self-designed and developed foot pressure injury prevention device for bedridden patients.The incidence of foot stress injury and foot drop,as well as the satisfaction of patients with using the preventive device for foot stress and the satisfaction of nurses with operating the preventive device for foot stress were observed.Results The incidence of foot pressure injury and foot drop in the observation group was significantly lower than that in the control group[incidence of foot pressure injury:3.61%(3/83)vs.8.43%(7/83),the incidence of foot drop:9.64%(8/83)vs.16.87%(14/83),both P<0.05].The satisfaction of patients in the observation group was significantly higher than that in the control group[91.6%(76/83)vs.79.5%(66/83),P<0.05],and nurse satisfaction in the observation group was higher than that in the control group[95.1%(39/41)vs.86.0%(37/43)],but there was no significant difference between the two groups(P>0.05).Conclusion The foot stress injury prevention device is suitable for patients with severe stroke in bed,which can effectively reduce the incidence of stress injury and foot drop,improve t

关 键 词：脑卒中 卧床患者 压力性损伤 足下垂 预防 

分 类 号：R473.74[医药卫生—护理学]